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Objetivo. Determinar prevalencias y perfiles de las personas con enfermedades cr贸nicas avanzadas en atenci贸n primaria y analizar elementos relacionados con su mortalidad para orientar estrategias de mejora. Dise帽o. Estudio observacional, anal铆tico y prospectivo durante 3a帽os de una cohorte de personas con necesidades paliativas. Emplazamiento. Tres equipos de atenci贸n primaria del 脕rea de Gesti贸n Asistencial de Osona (Catalu帽a). Participantes. | S0212656716306187 | Busca tu 1%: prevalencia y mortalidad de una cohorte comunitaria de personas con enfermedad cr贸nica avanzada y necesidades paliativas | [
"Palabras clave",
"Atenci贸n paliativa",
"Atenci贸n primaria",
"Comunidad",
"Mortalidad",
"Prevalencia"
] | Objetivo.
Determinar prevalencias y perfiles de las personas con enfermedades cr贸nicas avanzadas en atenci贸n primaria y analizar elementos relacionados con su mortalidad para orientar estrategias de mejora.
Dise帽o.
Estudio observacional, anal铆tico y prospectivo durante 3a帽os de una cohorte de personas con necesidades paliativas.
Emplazamiento.
Tres equipos de atenci贸n primaria del 脕rea de Gesti贸n Asistencial de Osona (Catalu帽a).
Participantes.
Un total de 251 personas identificadas como enfermos avanzados mediante una estrategia poblacional sistem谩tica que incluye el test NECPAL.
Mediciones principales.
Perfil demogr谩fico y cl铆nico b谩sico (edad, sexo, tipo de domicilio, nivel de estratificaci贸n y enfermedad principal); fecha, lugar y causa de los eventuales fallecimientos.
Resultados.
El 1% de la poblaci贸n adulta analizada presenta enfermedades avanzadas.
El 56,6% son mujeres, con una mediana de edad de 85a帽os.
El 49,3% son personas con <dis>demencia</dis> o fragilidad avanzada, el 13,7% tienen c谩ncer.
El 24,3% viven en residencias.
La mortalidad acumulada a los 3a帽os es del 62,1%, con una mediana de supervivencia de 23meses.
Los factores significativamente relacionados con la probabilidad de morir son tener c谩ncer, el sexo femenino y el sobreenvejecimiento.
Los pacientes fallecen en su domicilio (47,3%), en un hospital de atenci贸n intermedia (37,2%) o en un hospital de agudos (15,5%) en funci贸n de determinados factores explicativos.
Conclusiones.
En la poblaci贸n analizada la prevalencia y caracter铆sticas de la enfermedad avanzada comunitaria coinciden con la reportada en la literatura.
La atenci贸n primaria es el nivel de atenci贸n potencialmente referente de estos pacientes, especialmente si incorpora el entorno residencial en su 谩mbito de actuaci贸n.
| Objetivo.
Determinar prevalencias y perfiles de las personas con enfermedades cr贸nicas avanzadas en atenci贸n primaria y analizar elementos relacionados con su mortalidad para orientar estrategias de mejora.
Dise帽o.
Estudio observacional, anal铆tico y prospectivo durante 3a帽os de una cohorte de personas con necesidades paliativas.
Emplazamiento.
Tres equipos de atenci贸n primaria del 脕rea de Gesti贸n Asistencial de Osona (Catalu帽a).
Participantes.
Un total de 251 personas identificadas como enfermos avanzados mediante una estrategia poblacional sistem谩tica que incluye el test NECPAL.
Mediciones principales.
Perfil demogr谩fico y cl铆nico b谩sico (edad, sexo, tipo de domicilio, nivel de estratificaci贸n y enfermedad principal); fecha, lugar y causa de los eventuales fallecimientos.
Resultados.
El 1% de la poblaci贸n adulta analizada presenta enfermedades avanzadas.
El 56,6% son mujeres, con una mediana de edad de 85a帽os.
El 49,3% son personas con demencia o fragilidad avanzada, el 13,7% tienen c谩ncer.
El 24,3% viven en residencias.
La mortalidad acumulada a los 3a帽os es del 62,1%, con una mediana de supervivencia de 23meses.
Los factores significativamente relacionados con la probabilidad de morir son tener c谩ncer, el sexo femenino y el sobreenvejecimiento.
Los pacientes fallecen en su domicilio (47,3%), en un hospital de atenci贸n intermedia (37,2%) o en un hospital de agudos (15,5%) en funci贸n de determinados factores explicativos.
Conclusiones.
En la poblaci贸n analizada la prevalencia y caracter铆sticas de la enfermedad avanzada comunitaria coinciden con la reportada en la literatura.
La atenci贸n primaria es el nivel de atenci贸n potencialmente referente de estos pacientes, especialmente si incorpora el entorno residencial en su 谩mbito de actuaci贸n.
| [] | Spanish_Training_0 | [] | [] | [
"Palabras clave",
"Atenci贸n paliativa",
"Atenci贸n primaria",
"Comunidad",
"Mortalidad",
"Prevalencia"
] | [
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] |
Resumen
La holoprosencefalia (HPE) se caracteriza por un espectro de anomal铆as del sistema nervioso central provienentes de un fallo en la diferenciaci贸n y la divisi贸n del prosenc茅falo. Aproximadamente el 50% de las causas son cromos贸micas, y las trisom铆as 13 y 18 son las m谩s frecuentes. Ocasionalmente se ha descrito con car谩cter familiar. | S0210573X08000270 | Holoprosencefalia semilobular en 2 gestaciones sucesivas | [
"Palabras clave",
"Holoprosencefalia",
"Malformaci贸n craneofacial",
"Diagn贸stico prenatal"
] | Resumen
La holoprosencefalia (HPE) se caracteriza por un espectro de anomal铆as del sistema nervioso central provienentes de un fallo en la diferenciaci贸n y la divisi贸n del prosenc茅falo.
Aproximadamente el 50% de las causas son cromos贸micas, y las trisom铆as 13 y 18 son las m谩s frecuentes.
Ocasionalmente se ha descrito con car谩cter familiar.
Hay 3 tipos de HPE: alobular, semilobular y lobular.
A continuaci贸n se presenta un caso de HPE semilobular que apareci贸 en una misma mujer en 2 gestaciones sucesivas.
Se trata de una mujer de 33 a帽os de edad que acudi贸 a este centro durante el segundo trimestre de embarazo en 2 gestaciones sucesivas, presentaba id茅nticos hallazgos ecogr谩ficos en ambas gestaciones, los dos compatibles con HPE semilobular.
Los padres presentaban cariotipos normales pero <dis>leve retraso mental</dis>.
Ambas gestaciones finalizaron con una interrupci贸n voluntaria del embarazo en las semanas 21 y 20, respectivamente.
Los informes de anatom铆a patol贸gica confirmaron la HPE en ambos fetos.
Ante tales hallazgos, se decidi贸 realizar una resonancia magn茅tica cerebral de ambos progenitores con el fin de descartar el car谩cter familiar de la enfermedad.
La madre present贸 discreta asimetr铆a del tama帽o ventricular y del f贸rnix sin otros hallazgos patol贸gicos.
El estudio paterno confirm贸 las sospechas y mostr贸 una agenesia parcial del cuerpo calloso en su porci贸n media y posterior; tambi茅n se observ贸 una afectaci贸n en la morfolog铆a de los ventr铆culos laterales y una arteria pericallosa 煤nica, la hoz cerebral pose铆a un desarrollo escaso. | Resumen
La holoprosencefalia (HPE) se caracteriza por un espectro de anomal铆as del sistema nervioso central provienentes de un fallo en la diferenciaci贸n y la divisi贸n del prosenc茅falo.
Aproximadamente el 50% de las causas son cromos贸micas, y las trisom铆as 13 y 18 son las m谩s frecuentes.
Ocasionalmente se ha descrito con car谩cter familiar.
Hay 3 tipos de HPE: alobular, semilobular y lobular.
A continuaci贸n se presenta un caso de HPE semilobular que apareci贸 en una misma mujer en 2 gestaciones sucesivas.
Se trata de una mujer de 33 a帽os de edad que acudi贸 a este centro durante el segundo trimestre de embarazo en 2 gestaciones sucesivas, presentaba id茅nticos hallazgos ecogr谩ficos en ambas gestaciones, los dos compatibles con HPE semilobular.
Los padres presentaban cariotipos normales pero leve retraso mental.
Ambas gestaciones finalizaron con una interrupci贸n voluntaria del embarazo en las semanas 21 y 20, respectivamente.
Los informes de anatom铆a patol贸gica confirmaron la HPE en ambos fetos.
Ante tales hallazgos, se decidi贸 realizar una resonancia magn茅tica cerebral de ambos progenitores con el fin de descartar el car谩cter familiar de la enfermedad.
La madre present贸 discreta asimetr铆a del tama帽o ventricular y del f贸rnix sin otros hallazgos patol贸gicos.
El estudio paterno confirm贸 las sospechas y mostr贸 una agenesia parcial del cuerpo calloso en su porci贸n media y posterior; tambi茅n se observ贸 una afectaci贸n en la morfolog铆a de los ventr铆culos laterales y una arteria pericallosa 煤nica, la hoz cerebral pose铆a un desarrollo escaso. | [] | Spanish_Training_5 | [] | [] | [
"Palabras clave",
"Holoprosencefalia",
"Malformaci贸n craneofacial",
"Diagn贸stico prenatal"
] | [
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] |
"Resumen\n Antecedentes\nEl tama帽o del cuerpo calloso (CC) se ha relacionado con la presencia de d(...TRUNCATED) | S1134593412000309 | La conducta suicida se asocia a una reducci贸n el 谩rea del cuerpo calloso | [
"Palabras clave",
"Cuerpo calloso",
"Resonancia magn茅tica",
"Conducta suicida"
] | "Resumen\n Antecedentes\nEl tama帽o del cuerpo calloso (CC) se ha relacionado con la presencia de <d(...TRUNCATED) | "Resumen\n Antecedentes\nEl tama帽o del cuerpo calloso (CC) se ha relacionado con la presencia de d(...TRUNCATED) | [{"offsets":[94,138],"text":"d茅ficits cognitivos y emocionales","type":"DISABILITY"},{"offsets":[15(...TRUNCATED) | Spanish_Training_9 | [] | [] | [
"Palabras clave",
"Cuerpo calloso",
"Resonancia magn茅tica",
"Conducta suicida"
] | [0.007359449751675129,0.0024286606349051,0.0011821886291727424,0.014188147149980068,0.01535111851990(...TRUNCATED) |
"Resumen\n Introducci贸n\nLos estudios que han evaluado la efectividad de los implantes cocleares bi(...TRUNCATED) | S0001651915001363 | Estudio comparativo entre implantaci贸n coclear uni y bilateral en ni帽os de 1 y 2 a帽os de edad | ["Palabras clave","Implante coclear bilateral","Hipoacusia neurosensorial","Audici贸n residual","Len(...TRUNCATED) | "Resumen\n Introducci贸n\nLos estudios que han evaluado la efectividad de los implantes cocleares bi(...TRUNCATED) | "Resumen\n Introducci贸n\nLos estudios que han evaluado la efectividad de los implantes cocleares bi(...TRUNCATED) | [] | Spanish_Training_16 | [] | [] | ["Palabras clave","Implante coclear bilateral","Hipoacusia neurosensorial","Audici贸n residual","Len(...TRUNCATED) | [-0.018348801881074905,-0.01367140095680952,-0.010286429896950722,-0.004288791213184595,0.0191400684(...TRUNCATED) |
"Resumen\n El xantogranuloma del plexo coroideo es un tumor benigno de etiolog铆a desconocida que ra(...TRUNCATED) | S113014730570381X | "Xantogranuloma del plexo coroideo del tercer ventriculo: descripci贸n de un caso y revisi贸n de la (...TRUNCATED) | [
"Palabras clave",
"Xantogranuloma",
"Tumor de tercer ventr铆culo",
"RM"
] | "Resumen\n El xantogranuloma del plexo coroideo es un tumor benigno de etiolog铆a desconocida que ra(...TRUNCATED) | "Resumen\n El xantogranuloma del plexo coroideo es un tumor benigno de etiolog铆a desconocida que ra(...TRUNCATED) | [] | Spanish_Training_21 | [
"RMS"
] | [
"C0722978"
] | [
"Palabras clave",
"Xantogranuloma",
"Tumor de tercer ventr铆culo",
"RM",
"RMS"
] | [0.031240733340382576,-0.020365290343761444,0.01429311279207468,-0.00954601913690567,0.0122021082788(...TRUNCATED) |
"Resumen\n La fibromialgia (FM) es una entidad que ha sido aceptada por la OMS en 1992. Los criterio(...TRUNCATED) | S1853002812000237 | Fibromialgia para neur贸logos. Controversias sobre una consulta frecuente | [
"Palabras clave",
"Fibromialgia",
"Dolor cr贸nico"
] | "Resumen\n La fibromialgia (FM) es una entidad que ha sido aceptada por la OMS en 1992.\nLos criteri(...TRUNCATED) | "Resumen\n La fibromialgia (FM) es una entidad que ha sido aceptada por la OMS en 1992.\nLos criteri(...TRUNCATED) | [] | Spanish_Training_23 | [] | [] | [
"Palabras clave",
"Fibromialgia",
"Dolor cr贸nico"
] | [0.02480803057551384,0.008536192588508129,-0.0011731651611626148,-0.015825508162379265,0.00698017841(...TRUNCATED) |
"Antecedentes y objetivo. La neumon铆a asociada al ictus es una complicaci贸n relacionada con mal pr(...TRUNCATED) | S0213485316302080 | "Validaci贸n externa de las escalas A2DS2 e ISAN para predecir la infecci贸n respiratoria asociada a(...TRUNCATED) | ["Palabras clave","Ictus isqu茅mico","Infecci贸n respiratoria","Neumon铆a","Pron贸stico","Modelos pr(...TRUNCATED) | "Antecedentes y objetivo.\nLa neumon铆a asociada al ictus es una complicaci贸n relacionada con mal p(...TRUNCATED) | "Antecedentes y objetivo.\nLa neumon铆a asociada al ictus es una complicaci贸n relacionada con mal p(...TRUNCATED) | [] | Spanish_Training_28 | [] | [] | ["Palabras clave","Ictus isqu茅mico","Infecci贸n respiratoria","Neumon铆a","Pron贸stico","Modelos pr(...TRUNCATED) | [0.03893040493130684,0.0019141905941069126,0.008913655765354633,0.0051889424212276936,0.015596404671(...TRUNCATED) |
"Introducci贸n. La polineuropat铆a amiloid贸tica familiar por transtiretina (PAF por TTR) cursa inic(...TRUNCATED) | S0213485316301748 | "Polineuropat铆a amiloid贸tica familiar I por mutaci贸n Val50Met (Val30Met) en el gen de la transtir(...TRUNCATED) | ["Palabras clave","Transtiretina","Polineuropat铆a amiloid贸tica hereditaria","Val50Met (Val30Met)",(...TRUNCATED) | "Introducci贸n.\nLa polineuropat铆a amiloid贸tica familiar por transtiretina (PAF por TTR) cursa ini(...TRUNCATED) | "Introducci贸n.\nLa polineuropat铆a amiloid贸tica familiar por transtiretina (PAF por TTR) cursa ini(...TRUNCATED) | [] | Spanish_Training_35 | [] | [] | ["Palabras clave","Transtiretina","Polineuropat铆a amiloid贸tica hereditaria","Val50Met (Val30Met)",(...TRUNCATED) | [-0.008630488067865372,-0.004074993543326855,-0.015942351892590523,-0.017099620774388313,-0.02048258(...TRUNCATED) |
"Resumen\n Las personas con s铆ndrome de Down, como el resto de la poblaci贸n, presentan problemas d(...TRUNCATED) | S1138207410700671 | Depresi贸n y s铆ndrome de Down | [
"Palabras clave",
"Depresi贸n",
"S铆ndrome de Down",
"Trastornos afectivos",
"Psicoterapia"
] | "Resumen\n Las personas con s铆ndrome de Down, como el resto de la poblaci贸n, presentan <dis>proble(...TRUNCATED) | "Resumen\n Las personas con s铆ndrome de Down, como el resto de la poblaci贸n, presentan problemas d(...TRUNCATED) | [
{
"offsets": [
85,
121
],
"text": "problemas de salud mental",
"type": "DISABILITY"
}
] | Spanish_Training_40 | [] | [] | [
"Palabras clave",
"Depresi贸n",
"S铆ndrome de Down",
"Trastornos afectivos",
"Psicoterapia"
] | [0.008811822161078453,-0.008571392856538296,0.009315448813140392,-0.007910694926977158,-0.0036579435(...TRUNCATED) |
"Resumen\n El s铆ndrome de negligencia unilateral se define como la incapacidad o dificultad del pac(...TRUNCATED) | S0048712011000284 | "Evoluci贸n y pron贸stico en un caso de negligencia unilateral: Estudio longitudinal con el Behaviou(...TRUNCATED) | ["Palabras clave","Behavioural Inattention Test","Da帽o cerebral adquirido","Diagn贸stico","Evoluci(...TRUNCATED) | "Resumen\n El s铆ndrome de negligencia unilateral se define como la incapacidad o dificultad del pac(...TRUNCATED) | "Resumen\n El s铆ndrome de negligencia unilateral se define como la incapacidad o dificultad del pac(...TRUNCATED) | [
{
"offsets": [
246,
300
],
"text": "trastornos elementales sensitivos o motores",
"type": "DISABILITY"
}
] | Spanish_Training_42 | [] | [] | ["Palabras clave","Behavioural Inattention Test","Da帽o cerebral adquirido","Diagn贸stico","Evoluci(...TRUNCATED) | [0.008514415472745895,0.0048324111849069595,0.01643715426325798,0.009346380829811096,0.0063236649148(...TRUNCATED) |
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